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General NPI Number Information
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NPI Number | 1174486377
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Entity Type | Individual
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Provider Name | ELIZABETH PAPP-VANCELLETTE
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1975 4TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2351
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Country | US
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Telephone | 415-353-8847
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Fax |
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Provider Business Mailing Address
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Address Line | 2434 32ND AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-2237
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 720766
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22287
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 4746
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License Number State | CA
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